Audit of general practitioner referrals to a surgical assessment unit: New methods to improve the efficiency of the acute surgical service

Author:

Dookeran K A1,Bain I1,Moshakis V1

Affiliation:

1. Department of Surgery, George Eliot Hospital, Nuneaton CV10 7DJ, UK

Abstract

Abstract A total of 653 referrals from general practitioners to an acute surgical service were audited prospectively over a period of 4 months. Middle-grade staff accepting these referrals were able to deal with 182 (27·9 per cent) of these calls without surgical admission. A further 189 (28·9 per cent) referrals were seen on a surgical assessment unit and were not admitted to a surgical ward. The resultant cost saving was approximately 10 000. This confirms that the ready provision of an experienced surgical opinion in combination with early assessment can reduce the number of unnecessary acute surgical admissions referred from general practitioners.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference3 articles.

1. Audit of general practitioner referrals to an acute surgical unit;Dookeran;Br J Surg,1992

2. Pursuing efficiency in surgical practice;Wyllie;BMJ,1988

3. Changes in emergency surgery between 1973 and 1982: audit of the workload of one surgical team;Perry;Ann R Coll Surg Engl,1989

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